• Case Manager , Medicaid

    MVP Health Care (Schenectady, NY)
    Case Manager , Medicaid Long Term Support Program 625 State St, Schenectady, NY 12305, USA * Rochester, NY, USA * Tarrytown, NY, USA Req #2653 Thursday, ... innovative thinking and continuous improvement. To achieve this, we're looking for a ** Case Manager , Medicaid Long Term Support Program** to join… more
    MVP Health Care (06/13/25)
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  • Legal Nurse/Medical Analyst: Medicaid Fraud…

    New York State Civil Service (Albany, NY)
    …No Agency Attorney General, Office of the Title Legal Nurse/Medical Analyst: Medicaid Fraud Control Unit (6393) Occupational Category Legal Salary Grade NS ... State NY Zip Code 12224 Duties Description Criminal Justice Division Medicaid Fraud Control Unit - AlbanyMedical AnalystReference No. MFCU_ALB_ MA_6393Application… more
    New York State Civil Service (06/13/25)
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  • Case Manager - Adult Residential…

    Equinox, Inc (Albany, NY)
    Case Manager - Adult Residential Services Albany, NY (http://maps.google.com/maps?q=Albany+NY+USA) Job Type Full-time Description Equinox is a non-profit human ... mental illness and an addiction that need 24/7 support. Position Summary: The Residential Case Manager is responsible for providing service plan development and … more
    Equinox, Inc (05/03/25)
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  • RN Case Manager - Eddy Senior Care…

    Trinity Health (Schenectady, NY)
    **Employment Type:** Full time **Shift:** Day Shift **Description:** RN Care Manager - Full Time - Eddy SeniorCare (Rotterdam) Eddy SeniorCare has a rewarding ... opportunity for a full time RN Care Manager to manage a caseload of patients and help...help them remain as independent as possible for as long as possible in the community, working with a… more
    Trinity Health (06/04/25)
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  • Case Manager - Patient Access

    Cardinal Health (Albany, NY)
    …expertise in payer landscapes and insurance processes. Remain knowledgeable about long and short-range changes in the reimbursement environment including Medicare, ... Medicaid , Managed Care, and Commercial medical and pharmacy plans...myFlexPay + Flexible spending accounts (FSAs) + Short- and long -term disability coverage + Work-Life resources + Paid parental… more
    Cardinal Health (06/18/25)
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  • Case Manager

    Cardinal Health (Albany, NY)
    …Service experience, preferred + Clear knowledge of Medicare (A, B, C, D), Medicaid & Commercial payers policies and guidelines for coverage, preferred + Knowledge of ... pay day with myFlexPay + Flexible spending accounts (FSAs) + Short- and long -term disability coverage + Work-Life resources + Paid parental leave + Healthy lifestyle… more
    Cardinal Health (06/20/25)
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  • Program Manager - Center of Excellence…

    Albany Medical Center (Albany, NY)
    …ongoing consultation as needed. + Counsel and refer families regarding SSD, Medicare, Medicaid , Managed Long Term Care Programs, TBI programs, etc. + Liaison ... $134,309.04 We have an exciting opportunity for a Program Manager to join our multidisciplinary Team at the Albany...Related to Center Operations: + Recruit, hire and supervise case managers in CEAD. Provide leadership and expertise to… more
    Albany Medical Center (05/26/25)
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  • Program Manager - Adult Residential…

    Equinox, Inc (Albany, NY)
    Program Manager - Adult Residential Services Albany, NY (http://maps.google.com/maps?q=Albany+NY+USA+12206) Job Type Full-time Description Equinox is a non-profit ... and an addiction that need 24/7 support. This position will be the Program Manager at our Recovery Residence. Position Summary: The Program Manager will be… more
    Equinox, Inc (06/06/25)
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  • Mental Health Counselor

    Albany Medical Center (Albany, NY)
    …Specialist or Substance Abuse Specialist. + Works collaboratively with the medical provider, case manager , psychiatrist (if warranted), and other team members in ... provider with managed care private insurance plans, Medicare, and Medicaid . Experience working with a medically compromised patient population preferred.… more
    Albany Medical Center (05/31/25)
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  • Clinical Appeals Nurse (RN)

    Molina Healthcare (Albany, NY)
    …unrestricted Certified Clinical Coder + Certified Medical Audit Specialist + Certified Case Manager + Certified Professional Healthcare Management + Certified ... on denial decisions. + Resolves escalated complaints regarding Utilization Management and Long -Term Services & Supports issues. + Identifies and reports quality of… more
    Molina Healthcare (05/16/25)
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  • Senior Coordinator, Individualized Care

    Cardinal Health (Albany, NY)
    …helps manufacturers rethink how far their products can go. **Accountabilities** The Case Manager supports patient access to therapy through Reimbursement Support ... prior authorizations, and appeals, preferred (2+ years) + Knowledge of Medicare, Medicaid and Commercially insured payer common practices and policies, preferred +… more
    Cardinal Health (06/04/25)
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  • Director, System Payer Contracting

    Albany Medical Center (Albany, NY)
    …and hospital clinical leadership, legal, compliance, billing, finance, IT, case and utilization management, quality, credentialing, and other related departments. ... value-based enterprise financial acumen + Demonstrated leader of people and manager of resources. + Demonstrated success in orchestrating, leading, and overseeing… more
    Albany Medical Center (04/16/25)
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